Characteristics of interval gastric neoplasms detected within two years after negative screening endoscopy among Koreans
BackgroundIn Korea, where gastric cancer is highly prevalent, biennial endoscopy is recommended among individuals over 40. Even under regular screening, some are still diagnosed at advanced stages. We aimed to identify characteristics of interval gastric neoplasms (IGNs) with rapid progression.Resul...
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| description | BackgroundIn Korea, where gastric cancer is highly prevalent, biennial endoscopy is recommended among individuals over 40. Even under regular screening, some are still diagnosed at advanced stages. We aimed to identify characteristics of interval gastric neoplasms (IGNs) with rapid progression.ResultsNewly-diagnosed gastric neoplasms detected in screening endoscopy between January 2004 and May 2016 were reviewed. Among them, those who had previous endoscopy within 2 years were enrolled. Endoscopic findings, family history of gastric cancer, smoking, and H. pylori status were analysed. Totally, 297 IGN cases were enrolled. Among them, 246 were endoscopically treatable IGN (ET-IGN) and 51 were endoscopically untreatable IGNs (EUT-IGN) by the expanded criteria for endoscopic submucosal dissection. Among EUT-IGNs, 78% were undifferentiated cancers (40/51) and 33% showed submucosal invasion (13/40). They were median 2.0cm in size and more commonly located in the proximal stomach than ET-IGNs (70.6% vs. 41.9%, p |
| doi_str_mv | 10.1186/s12885-021-07929-y |
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Even under regular screening, some are still diagnosed at advanced stages. We aimed to identify characteristics of interval gastric neoplasms (IGNs) with rapid progression.ResultsNewly-diagnosed gastric neoplasms detected in screening endoscopy between January 2004 and May 2016 were reviewed. Among them, those who had previous endoscopy within 2 years were enrolled. Endoscopic findings, family history of gastric cancer, smoking, and H. pylori status were analysed. Totally, 297 IGN cases were enrolled. Among them, 246 were endoscopically treatable IGN (ET-IGN) and 51 were endoscopically untreatable IGNs (EUT-IGN) by the expanded criteria for endoscopic submucosal dissection. Among EUT-IGNs, 78% were undifferentiated cancers (40/51) and 33% showed submucosal invasion (13/40). They were median 2.0cm in size and more commonly located in the proximal stomach than ET-IGNs (70.6% vs. 41.9%, p<0.001). EUT-IGN was independently related with age<60 (OR, 2.09; 95%CI, 1.03-4.26, p=0.042), H. pylori (OR, 2.81; 95%CI, 1.20-6.63, p=0.018), and absent/mild gastric atrophy (OR, 2.67; 95%CI, 1.25-5.72, p=0.011). Overall and disease-specific survival were not significantly different between the two groups, however EUT-IGN tended to have short disease-specific survival (overall survival, p=0.143; disease-specific survival, p=0.083).ConclusionsUniform screening endoscopy with two-year interval seems not enough for rapid-growing gastric neoplasms, such as undifferentiated cancers. They tended to develop in adults younger than 60 with H. pylori infection without severe gastric atrophy. More meticulous screening, especially for proximal lesions is warranted for adults younger than 60 with H. pylori infection before development of gastric atrophy.</description><identifier>ISSN: 1471-2407</identifier><identifier>EISSN: 1471-2407</identifier><identifier>DOI: 10.1186/s12885-021-07929-y</identifier><identifier>PMID: 33653298</identifier><language>eng</language><publisher>LONDON: Springer Nature</publisher><subject>Adult ; Aged ; Atrophic gastritis ; Atrophy ; Biopsy ; Cancer ; Care and treatment ; Complications and side effects ; Diagnosis ; Endoscopy ; Endoscopy, Gastrointestinal ; Family medical history ; Female ; Gastric cancer ; Gastric neoplasm ; H. pylori ; Helicobacter infections ; Histology ; Humans ; Infections ; Life Sciences & Biomedicine ; Male ; Medical screening ; Middle Aged ; Oncology ; Oncology, Experimental ; Patients ; Retrospective Studies ; Risk factors ; Science & Technology ; Screening endoscopy ; Stomach cancer ; Stomach Neoplasms - diagnosis ; Stomach Neoplasms - etiology ; Stomach Neoplasms - mortality ; Stomach Neoplasms - pathology ; Survival ; Survival analysis ; Time Factors ; Tumors ; Undifferentiated histology</subject><ispartof>BMC cancer, 2021-03, Vol.21 (1), p.218-218, Article 218</ispartof><rights>COPYRIGHT 2021 BioMed Central Ltd.</rights><rights>2021. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>2</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000625334300005</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c628t-f20efeda39e9cebd42b28a31b6162fa6cebee5ad1315082d3c36323e2d14c8d13</citedby><cites>FETCH-LOGICAL-c628t-f20efeda39e9cebd42b28a31b6162fa6cebee5ad1315082d3c36323e2d14c8d13</cites><orcidid>0000-0002-0983-8446</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7923316/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7923316/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,886,2103,2115,27928,27929,53795,53797</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33653298$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lim, Joo Hyun</creatorcontrib><creatorcontrib>Song, Ji Hyun</creatorcontrib><creatorcontrib>Chung, Su Jin</creatorcontrib><creatorcontrib>Chung, Goh Eun</creatorcontrib><creatorcontrib>Kim, Joo Sung</creatorcontrib><title>Characteristics of interval gastric neoplasms detected within two years after negative screening endoscopy among Koreans</title><title>BMC cancer</title><addtitle>BMC CANCER</addtitle><addtitle>BMC Cancer</addtitle><description>BackgroundIn Korea, where gastric cancer is highly prevalent, biennial endoscopy is recommended among individuals over 40. Even under regular screening, some are still diagnosed at advanced stages. We aimed to identify characteristics of interval gastric neoplasms (IGNs) with rapid progression.ResultsNewly-diagnosed gastric neoplasms detected in screening endoscopy between January 2004 and May 2016 were reviewed. Among them, those who had previous endoscopy within 2 years were enrolled. Endoscopic findings, family history of gastric cancer, smoking, and H. pylori status were analysed. Totally, 297 IGN cases were enrolled. Among them, 246 were endoscopically treatable IGN (ET-IGN) and 51 were endoscopically untreatable IGNs (EUT-IGN) by the expanded criteria for endoscopic submucosal dissection. Among EUT-IGNs, 78% were undifferentiated cancers (40/51) and 33% showed submucosal invasion (13/40). They were median 2.0cm in size and more commonly located in the proximal stomach than ET-IGNs (70.6% vs. 41.9%, p<0.001). EUT-IGN was independently related with age<60 (OR, 2.09; 95%CI, 1.03-4.26, p=0.042), H. pylori (OR, 2.81; 95%CI, 1.20-6.63, p=0.018), and absent/mild gastric atrophy (OR, 2.67; 95%CI, 1.25-5.72, p=0.011). Overall and disease-specific survival were not significantly different between the two groups, however EUT-IGN tended to have short disease-specific survival (overall survival, p=0.143; disease-specific survival, p=0.083).ConclusionsUniform screening endoscopy with two-year interval seems not enough for rapid-growing gastric neoplasms, such as undifferentiated cancers. They tended to develop in adults younger than 60 with H. pylori infection without severe gastric atrophy. More meticulous screening, especially for proximal lesions is warranted for adults younger than 60 with H. pylori infection before development of gastric atrophy.</description><subject>Adult</subject><subject>Aged</subject><subject>Atrophic gastritis</subject><subject>Atrophy</subject><subject>Biopsy</subject><subject>Cancer</subject><subject>Care and treatment</subject><subject>Complications and side effects</subject><subject>Diagnosis</subject><subject>Endoscopy</subject><subject>Endoscopy, Gastrointestinal</subject><subject>Family medical history</subject><subject>Female</subject><subject>Gastric cancer</subject><subject>Gastric neoplasm</subject><subject>H. pylori</subject><subject>Helicobacter infections</subject><subject>Histology</subject><subject>Humans</subject><subject>Infections</subject><subject>Life Sciences & Biomedicine</subject><subject>Male</subject><subject>Medical screening</subject><subject>Middle Aged</subject><subject>Oncology</subject><subject>Oncology, Experimental</subject><subject>Patients</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Science & Technology</subject><subject>Screening endoscopy</subject><subject>Stomach cancer</subject><subject>Stomach Neoplasms - diagnosis</subject><subject>Stomach Neoplasms - etiology</subject><subject>Stomach Neoplasms - mortality</subject><subject>Stomach Neoplasms - pathology</subject><subject>Survival</subject><subject>Survival analysis</subject><subject>Time Factors</subject><subject>Tumors</subject><subject>Undifferentiated histology</subject><issn>1471-2407</issn><issn>1471-2407</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>DOA</sourceid><recordid>eNqNkl2L1DAUhoso7rr6B7yQgiCKdM1H20lvhGXwY3FB8OM6nKannSydZEzSmZ1_79mddZgRLyQXTU6e9w3n7cmy55ydc67qd5ELpaqCCV6wWSOaYvsgO-XljBeiZLOHB_uT7EmM14zxmWLqcXYiZV1J0ajT7Ga-gAAmYbAxWRNz3-fW0XENYz5ATMGa3KFfjRCXMe8wIcFdvrFpYV2eNj7fIoSYQ08iIgdIdo15NAHRWTfk6DofjV9tc1h6On_xAcHFp9mjHsaIz-6_Z9nPjx9-zD8XV18_Xc4vrgpTC5WKXjDssQPZYGOw7UrRCgWStzWvRQ811RAr6LjkFVOik0bWUkgUHS-NovJZdrnz7Txc61WwSwhb7cHqu4IPg4ZAnY-o-6ZWlWwNk31XKmBtCUgP90pShLVsyev9zms1tUvsDLoUYDwyPb5xdqEHv9b0d6TkNRm8vjcI_teEMemljQbHESjiKWpRNrWQsxkvCX35F3rtp-AoKi0qJhpGfgfUANSAdb2nd82tqb6oq0oIIZUk6vwfFK0Ol9Z4h72l-pHgzZGAmIQ3aYApRn35_dsx--qAXSCMaRH9OCXrXTwGxQ40wccYsN8Hx5m-HWi9G2hNA63vBlpvSfTiMPK95M8EE_B2B2yw9X00Fp3BPcYYq0UlZSlpxyqi1f_Tc5vgtou5n1ySvwEBThJk</recordid><startdate>20210302</startdate><enddate>20210302</enddate><creator>Lim, Joo Hyun</creator><creator>Song, Ji Hyun</creator><creator>Chung, Su Jin</creator><creator>Chung, Goh Eun</creator><creator>Kim, Joo Sung</creator><general>Springer Nature</general><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISR</scope><scope>3V.</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-0983-8446</orcidid></search><sort><creationdate>20210302</creationdate><title>Characteristics of interval gastric neoplasms detected within two years after negative screening endoscopy among Koreans</title><author>Lim, Joo Hyun ; Song, Ji Hyun ; Chung, Su Jin ; Chung, Goh Eun ; Kim, Joo Sung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c628t-f20efeda39e9cebd42b28a31b6162fa6cebee5ad1315082d3c36323e2d14c8d13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Atrophic gastritis</topic><topic>Atrophy</topic><topic>Biopsy</topic><topic>Cancer</topic><topic>Care and treatment</topic><topic>Complications and side effects</topic><topic>Diagnosis</topic><topic>Endoscopy</topic><topic>Endoscopy, Gastrointestinal</topic><topic>Family medical history</topic><topic>Female</topic><topic>Gastric cancer</topic><topic>Gastric neoplasm</topic><topic>H. pylori</topic><topic>Helicobacter infections</topic><topic>Histology</topic><topic>Humans</topic><topic>Infections</topic><topic>Life Sciences & Biomedicine</topic><topic>Male</topic><topic>Medical screening</topic><topic>Middle Aged</topic><topic>Oncology</topic><topic>Oncology, Experimental</topic><topic>Patients</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Science & Technology</topic><topic>Screening endoscopy</topic><topic>Stomach cancer</topic><topic>Stomach Neoplasms - diagnosis</topic><topic>Stomach Neoplasms - etiology</topic><topic>Stomach Neoplasms - mortality</topic><topic>Stomach Neoplasms - pathology</topic><topic>Survival</topic><topic>Survival analysis</topic><topic>Time Factors</topic><topic>Tumors</topic><topic>Undifferentiated histology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lim, Joo Hyun</creatorcontrib><creatorcontrib>Song, Ji Hyun</creatorcontrib><creatorcontrib>Chung, Su Jin</creatorcontrib><creatorcontrib>Chung, Goh Eun</creatorcontrib><creatorcontrib>Kim, Joo Sung</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lim, Joo Hyun</au><au>Song, Ji Hyun</au><au>Chung, Su Jin</au><au>Chung, Goh Eun</au><au>Kim, Joo Sung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Characteristics of interval gastric neoplasms detected within two years after negative screening endoscopy among Koreans</atitle><jtitle>BMC cancer</jtitle><stitle>BMC CANCER</stitle><addtitle>BMC Cancer</addtitle><date>2021-03-02</date><risdate>2021</risdate><volume>21</volume><issue>1</issue><spage>218</spage><epage>218</epage><pages>218-218</pages><artnum>218</artnum><issn>1471-2407</issn><eissn>1471-2407</eissn><abstract>BackgroundIn Korea, where gastric cancer is highly prevalent, biennial endoscopy is recommended among individuals over 40. Even under regular screening, some are still diagnosed at advanced stages. We aimed to identify characteristics of interval gastric neoplasms (IGNs) with rapid progression.ResultsNewly-diagnosed gastric neoplasms detected in screening endoscopy between January 2004 and May 2016 were reviewed. Among them, those who had previous endoscopy within 2 years were enrolled. Endoscopic findings, family history of gastric cancer, smoking, and H. pylori status were analysed. Totally, 297 IGN cases were enrolled. Among them, 246 were endoscopically treatable IGN (ET-IGN) and 51 were endoscopically untreatable IGNs (EUT-IGN) by the expanded criteria for endoscopic submucosal dissection. Among EUT-IGNs, 78% were undifferentiated cancers (40/51) and 33% showed submucosal invasion (13/40). They were median 2.0cm in size and more commonly located in the proximal stomach than ET-IGNs (70.6% vs. 41.9%, p<0.001). EUT-IGN was independently related with age<60 (OR, 2.09; 95%CI, 1.03-4.26, p=0.042), H. pylori (OR, 2.81; 95%CI, 1.20-6.63, p=0.018), and absent/mild gastric atrophy (OR, 2.67; 95%CI, 1.25-5.72, p=0.011). Overall and disease-specific survival were not significantly different between the two groups, however EUT-IGN tended to have short disease-specific survival (overall survival, p=0.143; disease-specific survival, p=0.083).ConclusionsUniform screening endoscopy with two-year interval seems not enough for rapid-growing gastric neoplasms, such as undifferentiated cancers. They tended to develop in adults younger than 60 with H. pylori infection without severe gastric atrophy. More meticulous screening, especially for proximal lesions is warranted for adults younger than 60 with H. pylori infection before development of gastric atrophy.</abstract><cop>LONDON</cop><pub>Springer Nature</pub><pmid>33653298</pmid><doi>10.1186/s12885-021-07929-y</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-0983-8446</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Atrophic gastritis Atrophy Biopsy Cancer Care and treatment Complications and side effects Diagnosis Endoscopy Endoscopy, Gastrointestinal Family medical history Female Gastric cancer Gastric neoplasm H. pylori Helicobacter infections Histology Humans Infections Life Sciences & Biomedicine Male Medical screening Middle Aged Oncology Oncology, Experimental Patients Retrospective Studies Risk factors Science & Technology Screening endoscopy Stomach cancer Stomach Neoplasms - diagnosis Stomach Neoplasms - etiology Stomach Neoplasms - mortality Stomach Neoplasms - pathology Survival Survival analysis Time Factors Tumors Undifferentiated histology |
| title | Characteristics of interval gastric neoplasms detected within two years after negative screening endoscopy among Koreans |
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